NPIMap

Individual provider Active NPI

Todd Wesley Kilgore, MD

  • Gastroenterology Physician
  • Lees Summit, MO
National Provider Identifier
1346342292
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2010035915 Issued in MO
Practice address
110 NE Saint Lukes Blvd
Suite 530
Lees Summit, MO 64086-6000
Phone
(816) 554-3838
Fax
(816) 554-1634
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLC 69 clinicians
Bates County Memorial Hospital 66 clinicians

Practice addresses (Care Compare)

110 NE Saint Lukes Blvd
Suite 530
Lees Summit, MO 64086-6075
Phone (816) 554-3838

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

7820 W 165TH St
Advent Health South Hospital
Overland Park, KS 66223-3021
Phone (816) 554-3838

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy170
Upper gastrointestinal (GI) endoscopy for acid reflux172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110727000149 MO Practitioner - Gastroenterology 2163690678 Reassigns benefits to 2 organizations
I20230927000820 KS Practitioner - GastroenterologyPractitioner - Internal Medicine 2163690678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Bates County Memorial Hospital CurrentSince Mar 16, 2019 Accepting new patients
Summit Gastroenterology LLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Digestive Health Specialists, LLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Bates County Memorial Hospital CurrentSince Mar 16, 2019 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

120 NE Saint Lukes Blvd
#275
Lees Summit, MO 64086

120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800

110 NE Saint Lukes Blvd
Ste 530
Lees Summit, MO 64086

4510 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-1629

11525 Olde Cabin Rd
Saint Louis, MO 63141
Phone (314) 997-0554

Interoperability endpoints

  • Direct secure messaging: todd.kilgore.1@15058.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2010035915 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

110 NE Saint Lukes Blvd
Suite 530
Lees Summit, MO 64086-6000

Mailing address

110 NE Saint Lukes Blvd
Suite 530
Lees Summit, MO 64086-6000
Phone (816) 554-3838

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2014.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1346342292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NE SAINT LUKES BLVD",
            "address_2": "SUITE 530",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-554-3838",
            "fax_number": "816-554-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE SAINT LUKES BLVD",
            "address_2": "SUITE 530",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-554-3838",
            "fax_number": "816-554-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "TODD",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2010035915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.